Organization · Type 2 NPI
Regents of the University of Idaho
General Practice Physician · Moscow, ID
NPI number
1548762867
Active
Practice location
875 Perimeter Dr # Ms 4201
Moscow, ID 83844-9803
Fax (208) 885-0512
Other practice locations
- 831 Ash St, Moscow, ID 83844-9803 · (208) 885-2210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1548762867
Regents of the University of Idaho's National Provider Identifier is 1548762867, issued on Mar 2, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Moscow, ID. The record was last updated on Mar 16, 2026.